Designated
Health Professional Shortage Areas
Statistics

Third Quarter of Fiscal Year 2018
Designated HPSA Quarterly Summary



As of June 30, 2018



Bureau of Health Workforce
Health Resources and Services Administration (HRSA)
U.S. Department of Health & Human Services
Table 1. Health Professional Shortage Areas: Number, Population, and Additional Practitioners
Needed for Geographic Areas, Population Groups, and Facilities as of June 30, 2018
 
           
Practitioners
Needed to
 
 
Number of
 
Population of
 
Percent of
 
Remove
 
   
Designations
(1)
 
Designated HPSAs
(2)
 
Need Met
(3)
  
Designations
  
Primary Medical HPSA Totals
7,253
  
85,576,737
   
48.56 %
(4)
  
14,963
(7)
 
Undetermined
1
      
---
      
Geographic Area
1,545
  
37,966,460
   
62.51 %
   
4,607
  
Population Group
1,826
  
46,365,074
   
38.86 %
   
9,534
  
Facility
3,881
  
1,245,203
   
32.22 %
   
822
  
Dental HPSA Totals
5,919
  
63,339,082
   
35.23 %
(5)
  
10,866
(8)
 
Geographic Area
770
  
17,082,957
   
60.60 %
   
1,771
  
Population Group
1,821
  
44,574,367
   
25.72 %
   
8,285
  
Facility
3,328
  
1,681,758
   
27.38 %
   
810
  
Mental Health HPSA Totals
5,119
  
126,262,128
   
32.34 %
(6)
  
5,985
(9)
 
Undetermined
2
      
---
      
Geographic Area
1,182
  
96,344,282
   
38.29 %
   
3,560
  
Population Group
403
  
27,844,227
   
20.50 %
   
1,303
  
Facility
3,532
  
2,073,619
   
21.84 %
   
1,122
  
HRSA Data Warehouse
1 of 7

Designated
Health Professional Shortage Areas
Statistics
Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of June 30, 2018
 
           
Practitioners
 
     
Percentage
 
Population
 
Needed to
 
   
Number of
of All
 
of Designated
 
Remove
 
   
Designations
(1)
Designations
(10)
HPSAs
 
Designations
 
Primary Medical HPSA Totals
 
7,253
    
85,576,737
   
14,963
  
Rural
 
4,292
 
59.18 %
  
24,437,399
   
4,022
  
Geographic Area
 
983
 
13.55 %
  
13,725,399
   
1,764
  
Population Group
 
1,006
 
13.87 %
  
10,095,204
   
1,866
  
Facility
 
2,303
 
31.75 %
  
616,796
   
392
  
Non-Rural
 
2,445
 
33.71 %
  
43,741,086
   
8,146
  
Undetermined
 
1
 
0.01 %
         
Geographic Area
 
310
 
4.27 %
  
16,041,643
   
1,936
  
Population Group
 
556
 
7.67 %
  
27,071,036
   
5,780
  
Facility
 
1,578
 
21.76 %
  
628,407
   
430
  
Partially Rural (11)
 
514
 
7.09 %
  
17,359,489
   
2,785
  
Geographic Area
 
250
 
3.45 %
  
8,160,655
   
897
  
Population Group
 
264
 
3.64 %
  
9,198,834
   
1,888
  
Unknown (12)
 
2
 
0.03 %
  
38,763
   
10
  
Geographic Area
 
2
 
0.03 %
  
38,763
   
10
  
Dental HPSA Totals
 
5,919
    
63,339,082
   
10,866
  
Rural
 
3,494
 
59.03 %
  
20,582,142
   
3,533
  
Geographic Area
 
569
 
9.61 %
  
8,043,728
   
895
  
Population Group
 
1,057
 
17.86 %
  
11,686,001
   
2,240
  
Facility
 
1,868
 
31.56 %
  
852,413
   
398
  
Non-Rural
 
2,047
 
34.58 %
  
29,333,095
   
5,101
  
Geographic Area
 
105
 
1.77 %
  
5,614,800
   
540
  
Population Group
 
484
 
8.18 %
  
22,888,950
   
4,149
  
Facility
 
1,458
 
24.63 %
  
829,345
   
412
  
Partially Rural
 
374
 
6.32 %
  
13,385,082
   
2,225
  
Geographic Area
 
94
 
1.59 %
  
3,385,666
   
329
  
Population Group
 
280
 
4.73 %
  
9,999,416
   
1,896
  
Unknown
 
4
 
0.07 %
  
38,763
   
7
  
Geographic Area
 
2
 
0.03 %
  
38,763
   
7
  
Facility
 
2
 
0.03 %
         
Mental Health HPSA Totals
 
5,119
    
126,262,128
   
5,985
  
Rural
 
2,718
 
53.10 %
  
28,245,917
   
1,730
  
Geographic Area
 
695
 
13.58 %
  
25,155,060
   
1,173
  
Population Group
 
95
 
1.86 %
  
2,080,630
   
134
  
Facility
 
1,928
 
37.66 %
  
1,010,227
   
423
  
Non-Rural
 
1,928
 
37.66 %
  
35,752,116
   
1,982
  
Undetermined
 
2
 
0.04 %
         
Geographic Area
 
150
 
2.93 %
  
20,326,872
   
665
  
Population Group
 
174
 
3.40 %
  
14,361,852
   
618
  
Facility
 
1,602
 
31.30 %
  
1,063,392
   
699
  
Partially Rural
 
467
 
9.12 %
  
62,004,660
   
2,257
  
Geographic Area
 
334
 
6.52 %
  
50,797,892
   
1,719
  
Population Group
 
133
 
2.60 %
  
11,206,768
   
538
  
Unknown
 
6
 
0.12 %
  
259,435
   
16
  
Geographic Area
 
3
 
0.06 %
  
64,458
   
3
  
Population Group
 
1
 
0.02 %
  
194,977
   
13
  
Facility
 
2
 
0.04 %
         
HRSA Data Warehouse
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Designated
Health Professional Shortage Areas
Statistics
 
HRSA Data Warehouse
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Designated
Health Professional Shortage Areas
Statistics
Table 3. Primary Care Health Professional Shortage Areas, by State, as of June 30, 2018
              
Primary Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(3)
Designation
(6)
HPSA Total
7,253
  
1,545
1,826
3,882
85,576,737
48.56 %
 
14,963
 
Region I
260
  
23
54
183
1,372,461
31.71 %
 
324
 
Connecticut
45
  
0
24
21
457,102
0.23 %
 
154
 
Maine
68
  
13
9
46
85,030
42.33 %
 
16
 
Massachusetts
68
  
5
9
54
539,073
38.66 %
 
113
 
New Hampshire
32
  
2
8
22
117,263
56.69 %
 
19
 
Rhode Island
14
  
1
3
10
161,671
66.97 %
 
20
 
Vermont
33
  
2
1
30
12,322
53.56 %
 
2
 
Region II
286
  
28
106
152
7,805,102
33.18 %
 
1,839
 
New Jersey
35
  
0
0
35
28,823
54.90 %
 
13
 
New York
206
  
24
89
93
5,974,332
41.42 %
 
1,242
 
Puerto Rico
39
  
0
17
22
1,690,470
1.92 %
 
554
 
U.S. Virgin Islands
6
  
4
0
2
111,477
18.12 %
 
30
 
Region III
492
  
88
121
283
4,565,290
51.59 %
 
792
 
Delaware
13
  
2
4
7
233,024
31.91 %
 
55
 
District of Columbia
15
  
3
3
9
248,519
27.16 %
 
64
 
Maryland
60
  
10
25
25
1,178,084
47.15 %
 
231
 
Pennsylvania
166
  
18
32
116
727,671
56.05 %
 
134
 
Virginia
112
  
49
17
46
1,550,261
62.79 %
 
189
 
West Virginia
126
  
6
40
80
627,731
45.18 %
 
119
 
Region IV
1,295
  
270
472
553
20,693,597
45.59 %
 
3,802
 
Alabama
101
  
32
29
40
1,955,645
57.84 %
 
280
 
Florida
265
  
15
121
129
6,020,199
21.83 %
 
1,617
 
Georgia
239
  
59
96
84
3,239,213
43.85 %
 
612
 
Kentucky
169
  
52
29
88
1,117,446
61.01 %
 
147
 
Mississippi
117
  
53
26
38
1,747,991
41.16 %
 
344
 
North Carolina
160
  
20
66
74
1,902,580
47.22 %
 
322
 
South Carolina
103
  
18
36
49
2,230,932
69.48 %
 
232
 
Tennessee
141
  
21
69
51
2,479,591
70.25 %
 
248
 
Region V
1,183
  
229
255
699
12,823,759
62.62 %
 
1,577
 
Illinois
234
  
48
77
109
3,847,031
57.43 %
 
527
 
Indiana
160
  
48
52
60
3,259,892
78.37 %
 
234
 
Michigan
365
  
27
57
281
2,386,422
54.72 %
 
358
 
Minnesota
129
  
32
23
74
464,373
47.65 %
 
78
 
Ohio
155
  
42
18
95
1,444,249
54.99 %
 
216
 
Wisconsin
140
  
32
28
80
1,421,792
65.68 %
 
164
 
Region VI
1,017
  
298
213
506
11,792,830
62.41 %
 
1,596
 
Arkansas
103
  
22
54
27
656,572
62.60 %
 
92
 
Louisiana
149
  
53
27
69
2,753,384
68.24 %
 
286
 
New Mexico
104
  
29
10
65
1,048,498
23.00 %
 
261
 
Oklahoma
186
  
13
66
107
1,312,316
56.50 %
 
201
 
Texas
475
  
181
56
238
6,022,060
67.12 %
 
756
 
Region VII
665
  
93
230
342
3,875,889
33.47 %
 
861
 
Iowa
134
  
35
32
67
730,405
61.70 %
 
99
 
Kansas
170
  
20
77
73
803,203
50.67 %
 
134
 
Missouri
250
  
27
121
102
2,314,257
16.99 %
 
622
 
Nebraska
111
  
11
0
100
28,024
56.02 %
 
6
 
Region VIII
531
  
178
113
240
2,907,976
47.90 %
 
521
 
Colorado
123
  
24
38
61
1,068,743
38.37 %
 
225
 
Montana
129
  
30
38
61
462,212
37.60 %
 
91
 
North Dakota
81
  
47
5
29
204,819
35.17 %
 
40
 
South Dakota
94
  
41
13
40
258,414
43.82 %
 
45
 
Utah
62
  
16
17
29
746,636
66.90 %
 
100
 
Wyoming
42
  
20
2
20
167,152
56.58 %
 
20
 
Region IX
1,001
  
243
142
616
14,789,181
45.24 %
 
2,677
 
Arizona
217
  
79
37
101
4,770,858
45.09 %
 
837
 
California
646
  
130
85
431
8,103,470
45.04 %
 
1,496
 
Hawaii
29
  
6
2
21
214,323
72.83 %
 
17
 
Nevada
90
  
20
17
53
1,235,504
51.23 %
 
205
 
American Samoa
2
  
1
0
1
57,291
10.47 %
 
17
 
Federated States of Micronesia
8
  
3
1
4
106,632
0.00 %
 
36
 
Guam
2
  
1
0
1
186,337
29.79 %
 
44
 
Marshall Islands
2
  
1
0
1
50,638
0.00 %
 
17
 
Northern Mariana Islands
3
  
1
0
2
53,366
72.13 %
 
4
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
4
 
Region X
523
  
95
120
308
4,950,652
38.58 %
 
974
 
Alaska
86
  
17
0
69
116,708
29.15 %
 
29
 
Idaho
103
  
16
31
56
531,793
48.36 %
 
88
 
Oregon
127
  
14
34
79
1,072,476
54.46 %
 
165
 
Washington
207
  
48
55
104
3,229,675
31.63 %
 
692
 
HRSA Data Warehouse
4 of 7

Designated
Health Professional Shortage Areas
Statistics
Table 4. Dental Health Health Professional Shortage Areas, by State, as of June 30, 2018
              
Dental Health
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(4)
Designation
(7)
HPSA Total
5,919
  
770
1,821
3,328
63,339,082
35.23 %
 
10,866
 
Region I
244
  
23
56
165
1,463,468
45.39 %
 
236
 
Connecticut
40
  
0
22
18
430,364
0.00 %
 
105
 
Maine
75
  
14
21
40
302,757
42.45 %
 
40
 
Massachusetts
61
  
7
4
50
482,737
73.39 %
 
49
 
New Hampshire
25
  
0
4
21
39,527
42.52 %
 
6
 
Rhode Island
14
  
0
4
10
178,655
34.89 %
 
34
 
Vermont
29
  
2
1
26
29,428
53.66 %
 
2
 
Region II
213
  
7
38
168
2,864,028
27.16 %
 
562
 
New Jersey
40
  
0
0
40
45,705
25.96 %
 
23
 
New York
144
  
3
38
103
2,700,669
26.75 %
 
520
 
Puerto Rico
24
  
1
0
23
13,159
16.13 %
 
4
 
U.S. Virgin Islands
5
  
3
0
2
104,495
42.11 %
 
15
 
Region III
447
  
48
158
241
5,361,303
38.23 %
 
866
 
Delaware
10
  
0
3
7
178,124
6.84 %
 
50
 
District of Columbia
11
  
0
2
9
83,820
9.30 %
 
20
 
Maryland
51
  
13
18
20
986,577
22.07 %
 
180
 
Pennsylvania
167
  
4
58
105
2,143,077
48.97 %
 
307
 
Virginia
90
  
22
36
32
1,227,028
43.17 %
 
168
 
West Virginia
118
  
9
41
68
742,677
28.80 %
 
141
 
Region IV
1,085
  
140
463
482
17,827,068
25.07 %
 
3,419
 
Alabama
64
  
0
43
21
1,792,743
20.37 %
 
357
 
Florida
223
  
1
105
117
5,185,561
13.28 %
 
1,169
 
Georgia
192
  
42
81
69
2,020,389
23.06 %
 
405
 
Kentucky
117
  
13
27
77
604,833
52.98 %
 
69
 
Mississippi
110
  
56
23
31
1,798,158
46.17 %
 
245
 
North Carolina
146
  
3
72
71
2,367,917
18.83 %
 
495
 
South Carolina
85
  
20
18
47
1,656,183
40.44 %
 
252
 
Tennessee
148
  
5
94
49
2,401,284
29.41 %
 
427
 
Region V
970
  
32
379
559
9,629,819
32.61 %
 
1,687
 
Illinois
166
  
6
77
83
2,580,979
43.92 %
 
386
 
Indiana
87
  
7
39
41
1,292,650
35.67 %
 
218
 
Michigan
283
  
1
60
222
1,323,505
6.01 %
 
321
 
Minnesota
135
  
11
65
59
768,755
20.40 %
 
159
 
Ohio
161
  
7
80
74
2,117,101
34.45 %
 
349
 
Wisconsin
138
  
0
58
80
1,546,829
36.64 %
 
254
 
Region VI
772
  
186
155
431
8,676,318
60.96 %
 
1,052
 
Arkansas
84
  
10
52
22
673,683
38.98 %
 
100
 
Louisiana
120
  
38
21
61
2,006,437
54.26 %
 
232
 
New Mexico
82
  
21
16
45
891,071
21.44 %
 
174
 
Oklahoma
164
  
7
59
98
901,763
35.85 %
 
163
 
Texas
322
  
110
7
205
4,203,364
75.34 %
 
383
 
Region VII
565
  
72
232
261
3,632,669
24.08 %
 
666
 
Iowa
125
  
13
56
56
575,429
42.02 %
 
82
 
Kansas
138
  
27
64
47
647,183
29.37 %
 
107
 
Missouri
221
  
31
110
80
2,402,241
18.17 %
 
477
 
Nebraska
81
  
1
2
78
7,816
78.38 %
 
0
 
Region VIII
379
  
84
94
201
1,933,071
46.87 %
 
260
 
Colorado
101
  
21
30
50
713,469
39.99 %
 
110
 
Montana
86
  
11
19
56
205,118
36.39 %
 
33
 
North Dakota
41
  
20
2
19
91,060
32.72 %
 
11
 
South Dakota
67
  
22
14
31
157,140
33.69 %
 
28
 
Utah
53
  
5
23
25
693,700
59.58 %
 
72
 
Wyoming
31
  
5
6
20
72,584
64.51 %
 
6
 
Region IX
819
  
130
129
560
7,411,095
32.28 %
 
1,319
 
Arizona
257
  
94
65
98
4,640,143
32.99 %
 
792
 
California
441
  
16
41
384
1,234,076
31.49 %
 
259
 
Hawaii
22
  
1
1
20
40,313
36.09 %
 
7
 
Nevada
81
  
11
22
48
1,240,327
36.40 %
 
200
 
American Samoa
2
  
1
0
1
57,291
8.38 %
 
13
 
Federated States of Micronesia
8
  
4
0
4
107,020
0.00 %
 
27
 
Guam
1
  
0
0
1
 
---
   
Marshall Islands
2
  
1
0
1
27,797
0.00 %
 
7
 
Northern Mariana Islands
3
  
1
0
2
53,366
0.00 %
 
11
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
3
 
Region X
425
  
48
117
260
4,540,243
26.77 %
 
799
 
Alaska
71
  
15
0
56
138,234
37.34 %
 
20
 
Idaho
97
  
6
38
53
503,387
45.10 %
 
68
 
Oregon
107
  
3
37
67
1,194,258
22.26 %
 
234
 
Washington
150
  
24
42
84
2,704,364
24.74 %
 
477
 
HRSA Data Warehouse
5 of 7

Designated
Health Professional Shortage Areas
Statistics
Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of June 30, 2018
              
Mental Health Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(5)
Designation
(8)
HPSA Total
5,119
  
1,182
403
3,534
126,262,128
32.34 %
 
5,985
 
Region I
206
  
27
11
168
4,601,175
41.59 %
 
195
 
Connecticut
39
  
8
5
26
3,299,371
39.36 %
 
121
 
Maine
51
  
12
0
39
261,782
33.58 %
 
29
 
Massachusetts
58
  
2
5
51
505,216
40.60 %
 
32
 
New Hampshire
21
  
3
0
18
92,634
45.04 %
 
3
 
Rhode Island
13
  
2
1
10
442,172
67.86 %
 
10
 
Vermont
24
  
0
0
24
 
---
   
Region II
251
  
21
55
175
6,146,857
38.69 %
 
272
 
New Jersey
38
  
0
0
38
32,755
71.51 %
 
4
 
New York
166
  
17
44
105
4,557,642
38.95 %
 
208
 
Puerto Rico
42
  
1
11
30
1,451,959
21.04 %
 
51
 
U.S. Virgin Islands
5
  
3
0
2
104,501
60.95 %
 
9
 
Region III
417
  
70
59
288
7,199,413
40.55 %
 
446
 
Delaware
14
  
0
1
13
88,323
7.77 %
 
15
 
District of Columbia
10
  
1
0
9
133,945
5.31 %
 
28
 
Maryland
59
  
13
14
32
1,535,876
52.52 %
 
92
 
Pennsylvania
124
  
25
1
98
1,808,176
38.73 %
 
105
 
Virginia
81
  
17
8
56
2,188,097
40.34 %
 
113
 
West Virginia
129
  
14
35
80
1,444,996
37.56 %
 
93
 
Region IV
781
  
141
130
510
28,284,475
28.51 %
 
1,523
 
Alabama
53
  
14
7
32
2,913,725
25.83 %
 
149
 
Florida
169
  
17
39
113
6,081,587
26.02 %
 
222
 
Georgia
109
  
23
8
78
6,540,716
44.74 %
 
205
 
Kentucky
111
  
30
4
77
2,280,953
37.17 %
 
88
 
Mississippi
47
  
13
0
34
2,388,011
23.76 %
 
372
 
North Carolina
153
  
25
47
81
2,679,240
19.81 %
 
118
 
South Carolina
66
  
9
9
48
1,890,058
51.71 %
 
61
 
Tennessee
73
  
10
16
47
3,510,185
13.41 %
 
308
 
Region V
807
  
198
22
587
20,471,401
30.37 %
 
988
 
Illinois
126
  
33
5
88
5,128,380
28.02 %
 
214
 
Indiana
90
  
31
4
55
4,474,275
39.11 %
 
162
 
Minnesota
67
  
10
0
57
2,214,964
39.29 %
 
73
 
Michigan
272
  
52
5
215
4,013,832
27.09 %
 
182
 
Ohio
115
  
20
7
88
2,334,584
31.99 %
 
110
 
Wisconsin
137
  
52
1
84
2,305,366
23.51 %
 
247
 
Region VI
787
  
294
33
460
16,753,002
35.76 %
 
799
 
Arkansas
45
  
5
9
31
1,088,383
41.16 %
 
31
 
Louisiana
127
  
55
10
62
3,233,322
21.32 %
 
167
 
New Mexico
73
  
16
2
55
1,251,275
12.30 %
 
75
 
Oklahoma
117
  
4
9
104
1,551,366
21.60 %
 
93
 
Texas
425
  
214
3
208
9,628,656
43.91 %
 
433
 
Region VII
349
  
53
23
273
7,597,205
33.10 %
 
282
 
Iowa
72
  
16
0
56
1,694,382
48.07 %
 
45
 
Kansas
71
  
20
2
49
1,444,937
43.65 %
 
39
 
Missouri
122
  
12
21
89
3,418,892
19.56 %
 
172
 
Nebraska
84
  
5
0
79
1,038,994
50.82 %
 
26
 
Region VIII
360
  
112
13
235
6,357,889
31.33 %
 
303
 
Colorado
92
  
11
4
77
2,084,535
28.25 %
 
91
 
Montana
84
  
23
7
54
618,663
23.77 %
 
71
 
North Dakota
56
  
31
0
25
394,208
36.22 %
 
20
 
South Dakota
65
  
29
1
35
686,662
12.83 %
 
39
 
Utah
39
  
13
1
25
2,012,634
47.62 %
 
57
 
Wyoming
24
  
5
0
19
561,187
31.46 %
 
25
 
Region IX
770
  
166
39
565
20,535,637
30.05 %
 
846
 
Arizona
182
  
70
15
97
9,164,190
16.56 %
 
398
 
California
474
  
65
22
387
6,773,640
33.20 %
 
274
 
Hawaii
31
  
9
1
21
317,911
75.23 %
 
5
 
Nevada
65
  
14
1
50
3,867,098
43.69 %
 
156
 
American Samoa
2
  
1
0
1
57,292
0.00 %
 
3
 
Federated States of Micronesia
8
  
4
0
4
107,020
0.00 %
 
6
 
Guam
2
  
1
0
1
159,358
58.97 %
 
3
 
Marshall Islands
1
  
0
0
1
 
---
   
Northern Mariana Islands
3
  
1
0
2
69,221
86.96 %
 
0
 
Republic of Palau
2
  
1
0
1
19,907
0.00 %
 
1
 
Region X
391
  
100
18
273
8,315,074
26.78 %
 
331
 
Alaska
75
  
18
0
57
276,449
19.39 %
 
10
 
Idaho
63
  
7
1
55
1,700,834
37.36 %
 
45
 
Oregon
95
  
18
7
70
1,899,357
32.68 %
 
84
 
Washington
158
  
57
10
91
4,438,434
21.09 %
 
192
 
HRSA Data Warehouse
6 of 7

Designated
Health Professional Shortage Areas
Statistics
 
Endnotes
 
(1)
The number of designations includes HPSAs that are proposed for withdrawal (P) and HPSAs that have no data (N). Designations are not withdrawn until a Federal Register Notice is published, generally once a year on or around July 1.
 
(2)
The figure reported for the Population of Designated Facility HPSAs for both Primary Care and Dental reflects the number of internees in designated correctional facilities. The figure reported for the Population of Designated Facility HPSAs for Mental Health reflects the number of internees in designated correctional facilities, as well as the average daily inpatient census for state and county mental hospitals designated after September 1, 2015. For reports generated prior to September 1, 2015, the Population of Designated Facility HPSAs for all disciplines included populations served by other public or non-profit facilities. These are facilities that qualify for HPSA designation by demonstrating that even though they are not located in a geographic or population HPSA, they serve the populations of geographic and population HPSAs. As a result, these populations were potentially double counted.
 
(3)
The figure reported for Percent of Need Met for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet National Health Service Corps (NHSC) site requirements.
 
(4)
The percent of need met is computed by dividing the number of primary care physicians available to serve the population of the area, group, or facility by the number of primary care physicians that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a primary care HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For primary care geographic designations, the population to provider ratio must be at least 3,500 to 1. For primary care population designations or geographic designations in areas with unusually high needs, the threshold is 3,000 to 1. For correctional facilities, the threshold is 1,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(5)
The percent of need met is computed by dividing the number of dentists available to serve the population of the area, group, or facility by the number of dentists that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a dental HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For dental geographic designations, the ratio must be at least 5,000 to 1. For dental population designations or geographic designations in areas with unusually high needs, the threshold is 4,000 to 1. For correctional facilities, the threshold is 1,500:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(6)
The percent of need met is computed by dividing the number of mental health providers available to serve the population of the area, group, or facility by the number of mental health providers that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a mental health HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. Mental health designations may qualify for designation based on the population to psychiatrist ratio, the population to core mental health provider (psychiatrists, clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists) ratio, or the population to both psychiatrist and core mental health provider ratios. For mental health geographic designations based on the ratio of population to psychiatrist ratio, the designation must have a ratio of 30,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 20,000 to 1. For mental health geographic designations based on the ratio of population to core mental health providers, the designation must have a ratio of 9,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 6,000 to 1. For mental health geographic designations based on the ratios of both population to psychiatrist and population to core mental health providers, the designation must have ratios of 20,000 to 1 (psychiatrists) and 6,000 to 1 (core mental health providers), while for population designations or geographic designations in areas with unusually high needs, the thresholds are 15,000 to 1 (psychiatrists) and 4,500 to 1 (core mental health providers). For correctional facilities, the threshold is 2,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed. For state mental hospitals, the calculation is based on workload units, which are a function of the average daily inpatient census and the number and type of admissions. For correctional facilities and state mental hospitals, psychiatrists are the only provider type counted.
 
(7)
The number of additional primary care physicians needed to achieve a population-to-primary care physician ratio below the thresholds necessary for designation in all designated primary care HPSAs that would result in their removal from designation. The formula used to designate primary care HPSAs does not take into account the availability of additional primary care services provided by nurse practitioners and physician assistants in an area. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(8)
The number of additional dentists needed to achieve a population-to-dentist ratio below the thresholds necessary for designation in all designated dental HPSAs that would result in their removal from designation. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(9)
The number of additional mental health providers needed to achieve a population-to-provider ratio below the thresholds necessary for designation in all designated mental health HPSAs that would result in their removal from designation. While the regulations allow mental health HPSA designations to be based on the psychiatrist to population ratio, the core mental health provider to population ratio, or both in conjunction, most mental health HPSA designations are currently based on the psychiatrists only to population ratio. If a HPSA designation is based on the ratio of population to psychiatrists only, it does not take into account the availability of additional mental health services provided by other mental health providers in the area, such as clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(10)
Percentages of all designations classified as rural/non-rural are calculated by dividing the number of designations for the specified subcategory by the total number of designations for each discipline type and multiplying the result by 100. Due to decimal rounding, percentage totals may not equal exactly 100%.
 
(11)
Partially rural designations are those made up of geographic components that have a mixture of rural, non-rural, and unknown statuses.
 
(12)
Designations of unknown rural status may include 1) facility HPSAs whose precise location could not be located on a map (i.e. geocoded) or 2) geographic or population group HPSAs that are made up of some or all areas for which rural status is undefined. Rural status may be undefined where rural information or underlying geographic reference data for administrative boundaries is unavailable for the specified geographic area.
   
HRSA Data Warehouse
7 of 7